Aged, Elder Abuse, Geriatric Assessment, Geriatrics, Health Services for the Aged, Self Neglect, Surveys and Questionnaires
Conditions
Keywords
Elder Mistreatment, Abuse, Neglect, Exploitation, Screening, Geriatric, Questionnaire
Brief summary
The purpose of this study is to demonstrate the feasibility of introducing, implementing, and integrating a brief, existent elder mistreatment screening tool (the National Collaboratory to Address Elder Mistreatment (NCAEM)'s Elder Mistreatment - Screening And Response Tool (EM-SART) Pre-Screen) in the Memorial Herman Hospital (MHH)-Texas Medical Center (TMC)Acute Care of Elders(ACE) (MHH-TMC ACE) unit and to identify older adults who may already be suffering from abuse, neglect, and/or financial exploitation, as well as connecting the study participants to the primary Geriatric Medicine team on the ACE unit such that additional care, evaluation (including additional in-depth mistreatment screening), and intervention can be taken to prevent and minimize further harm prior to discharge. The investigators hope to reduce missed opportunities for mistreatment detection to lead to safer health outcomes and hospital discharges.
Interventions
OTHERNCAEM EM-SART Pre-Screen
Participants will be verbally asked the 3 participant questions on the NCAEM EM-SART Pre-Screen either directly or with support of hospital approved telephonic interpreters. Answers will be documented by the investigator digitally. Participants will be interviewed one time for a duration of approximately 15 minutes. No further action will be taken on study participants with negative elder mistreatment screens, unless findings concerning for emotional distress are identified by the investigator. If emotional distress is identified, these observations will be communicated to Geriatric Medicine team in person or via secure/encrypted email, with recommendations to follow-up with the participant about the results and take appropriate care actions. Study participants with positive elder mistreatment will have results shared with the study participant directly and with the Geriatric Medicine primary team via secure/encrypted email.
Sponsors
The University of Texas Health Science Center, Houston
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* current admission to the MHH-TMC ACE unit * ability to independently hear, understand, and verbally answer the 3 participant questions on the NCAEM's EM-SART Pre-Screen screening tool when it is read to them
Exclusion criteria
* unwillingness to participate in the research study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of units using this NCAEM EM-SART Pre-Screen tool | 12 months after study | How many times the NCAEM EM-SART Pre-Screen tool is attempted with consented patients |
| Number of participants who have identified elder mistreatment | 15 minute evaluation of each participant, no follow-up | Study participants screening positive based on NCAEM EM-SART Pre-Screen tool |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORJulia A Hiner, MD
The University of Texas Health Science Center, Houston
Outcome results
None listed